Lee J1,2, Lee S-H3, Kim J-O4
1Sahmyook University, Virtual Rehabilitation LAB, Seoul, Korea (South), 2Hyun-myoung Medical Center, Physical Therapy, Seoul, Korea (South), 3Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Physical and Rehabilitation Medicine, Seoul, Korea (South), 4Sahmyook University, Physical Therapy, Seoul, Korea (South)
Background: The prevalence of chronic back pain is between 57 and 64%, and 59% reoccurring. Chronic back pain is a pathological problem that adversely affects the functioning of the human body. Currently, there is active research on pedestrian analysis of chronic pain patients. But there is a lack of research on walking training for chronic sufferers.
Purpose: This study was to investigate the effect of spinal alignment, muscle cross-sectional area of trunk, pain, strength, trunk sway, and gait parameters through Tubing-Gait training combined with Real-Time feedback(RT-TG) applied to the posterior and anterior aspect of the legs in patients with chronic low back pain and to compare the effect of Tubing-Gait training(TG) and Conventional Physical Therapy.
Methods: Fifty seven patients with chronic low back pain were randomly classified in to the TG-RT group(n=19), TG group(n=19), and control group(n=19). With the training of 3 times a week for 4 weeks. A spinal alignment was measured at the whole body X-ray equipment at 0, 4, 6 week. The muscle cross-sectional area of trunk was evaluation as Computed Tomography and the strength measured by Digital Muscle Strength Tester and the pain measured by Visual Analog Scale(VAS) and Digital Algometry and the trunk sway was measured by Force Plate and the gait parameters was measure by Force Plate and Video Gait Analysis System were appraised before and after training. The characteristic of three groups were exposed to be homogeneous and the result of three groups according to the measurement Time were as followed. The RT-TG group showed significant improvement in spinal alignment(SA), psoas and multifidus muscles cross-sectional area, strength(psoas, gliuteus maximus and medius, Tensor fascia latae, quadriceps femoris, and hamstring muscles), VAS, pressure pain threshold, eye open and closed Area of Ellips(AoE), total length of COP, X and Y Axis velocity, waking horizontal pelvic angle, foot progression angle(FPA), ground reaction force(GRF) during gait.
Results: The results show that tubing gait training combined with real-time feedback contributed to producing significantly improved spianl alignment(p 0.01), both psoas and multifidus cross-sectional area(p 0.001), both L5 pressure pain threshold(p 0.05), psoas, gluteus maximus and medius, TFL, hamstring muscles strength(p 0.05), eye open and close Y-axis velocity(p 0.05), and FPA(p 0.05), initial contact and terminal stance of GRF(p 0.001) compared with TG and/or conventional therapy groups.
Conclusion(s): These findings show that tubing-gait training combined with real-time feedback contributed to producing improved spinal alignment, muscle architecture of trunk, strength, pain, balance and gait parameters.
Implications: Therefore, it is suggestive that tubing-gait training combined with real-time feedback can be included as an effective intervention within the clinic for patients with chronic low back pain.
Keywords: Chronic low back pain, real-time feedback, gait
Funding acknowledgements: None
Purpose: This study was to investigate the effect of spinal alignment, muscle cross-sectional area of trunk, pain, strength, trunk sway, and gait parameters through Tubing-Gait training combined with Real-Time feedback(RT-TG) applied to the posterior and anterior aspect of the legs in patients with chronic low back pain and to compare the effect of Tubing-Gait training(TG) and Conventional Physical Therapy.
Methods: Fifty seven patients with chronic low back pain were randomly classified in to the TG-RT group(n=19), TG group(n=19), and control group(n=19). With the training of 3 times a week for 4 weeks. A spinal alignment was measured at the whole body X-ray equipment at 0, 4, 6 week. The muscle cross-sectional area of trunk was evaluation as Computed Tomography and the strength measured by Digital Muscle Strength Tester and the pain measured by Visual Analog Scale(VAS) and Digital Algometry and the trunk sway was measured by Force Plate and the gait parameters was measure by Force Plate and Video Gait Analysis System were appraised before and after training. The characteristic of three groups were exposed to be homogeneous and the result of three groups according to the measurement Time were as followed. The RT-TG group showed significant improvement in spinal alignment(SA), psoas and multifidus muscles cross-sectional area, strength(psoas, gliuteus maximus and medius, Tensor fascia latae, quadriceps femoris, and hamstring muscles), VAS, pressure pain threshold, eye open and closed Area of Ellips(AoE), total length of COP, X and Y Axis velocity, waking horizontal pelvic angle, foot progression angle(FPA), ground reaction force(GRF) during gait.
Results: The results show that tubing gait training combined with real-time feedback contributed to producing significantly improved spianl alignment(p 0.01), both psoas and multifidus cross-sectional area(p 0.001), both L5 pressure pain threshold(p 0.05), psoas, gluteus maximus and medius, TFL, hamstring muscles strength(p 0.05), eye open and close Y-axis velocity(p 0.05), and FPA(p 0.05), initial contact and terminal stance of GRF(p 0.001) compared with TG and/or conventional therapy groups.
Conclusion(s): These findings show that tubing-gait training combined with real-time feedback contributed to producing improved spinal alignment, muscle architecture of trunk, strength, pain, balance and gait parameters.
Implications: Therefore, it is suggestive that tubing-gait training combined with real-time feedback can be included as an effective intervention within the clinic for patients with chronic low back pain.
Keywords: Chronic low back pain, real-time feedback, gait
Funding acknowledgements: None
Topic: Musculoskeletal: spine; Human movement analysis; Pain & pain management
Ethics approval required: Yes
Institution: Sahmyook University
Ethics committee: Sahmyook University Institutional Review Board
Ethics number: 2-1040781-AB-N-01-2017013HR
All authors, affiliations and abstracts have been published as submitted.
